Monument Online Therapy Review

Personalized alcohol abstinence program, medication, therapy, and group support

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Monument Review

Monument

Verywell's Rating
3.8

If you need online support and/or medication to moderate—or eliminate—your alcohol consumption, Monument’s therapists and physicians are here to help. The company also offers free chat forums and support groups to all.

VERYWELL MIND's 2021 ONLINE THERAPY AWARDS
  • Best for Alcohol Abuse Services
  • Pros & Cons
  • Key Facts
Pros & Cons
Pros
  • Multiple monthly subscription plans

  • Medication management services available

  • Accepts insurance

  • Multiple convenient communication options

  • All therapists are licensed

  • Free chat forums available

  • Free moderated support groups available

  • Can purchase additional medical appointments

Cons
  • Only two medications can be prescribed

  • Not suitable for other mental health conditions unless addiction is primary concern

  • You can’t choose your own therapist

  • Therapy not available in all states

  • Initiation fee for most affordable treatment plan

Key Facts
Price
$0 to $249 per month
Is Insurance Accepted?
Yes
Communication Options
Messaging, Video Chat
HIPPA Compliant?
N/A
Is There an App?
Yes
Does it Accept HSA/FSA?
Yes
Why Trust Us We surveyed 100 users from each online therapy company and asked the companies to complete questionnaires. Then, we conducted comprehensive research with a psychotherapist. Read our Full Methodology
33 Companies reviewed
3,497 Total users surveyed
300 Data points analyzed

In May 2020, Mike Russell launched Monument after he had struggles seeking support to battle his own alcohol addiction. According to a post he wrote on the Monument website, he had reached out to a number of outpatient centers, but it took three weeks for one to respond to him—and that was just to notify him that he had been placed on a two-month waiting list.

It wasn’t until he learned that there are FDA-approved medications to help people like him that he was able to begin his own treatment recovery. And once he had found support for himself, he was determined to make the recovery process for others a little bit easier, too.

Even though Monument is one of the youngest online therapy companies we reviewed, it already stands out because its emphasis is so different from the competition. It offers online talk therapy, medication management, and an online community to people seeking help recovering from alcohol addiction.

Although the free, moderated online support groups are available in all 50 states, the therapy and medication management plans are only available to people in Arizona, California, Colorado, Connecticut, Florida, Georgia, Iowa, Kentucky, Maryland, Mississippi, New Jersey, New York, Ohio, Oregon, Pennsylvania, South Carolina, Texas, Virginia, Washington, and Washington, D.C.

First Impressions and Sign-up Process 

When you land on the Monument homepage, you’re greeted with the promising words “Online alcohol treatment on your terms.” Below that, you’ll find a two-sentence summary of the company’s mission, as well as a big yellow button to “Get started.” If you scroll down, you’ll find a long homepage packed with additional information, including testimonials, a summary of how the company’s services work, and links to its plans and pricing page, blog, founder’s story, additional research on alcohol recovery, and FAQs. 

Monument Homepage
Monument Homepage.

If you click on the top right-side menu, you’ll find links to Monument’s free, moderated support groups, community forums, and informational pages about its therapy and medication services. There are also dedicated pages about insurance, reviews, and resources. You can also find additional information about the medical team and read through clinician bios. Overall, the website is easy to navigate, informative, and helpful to potential users. Unlike some of the company’s competition, the site feels more like a resource instead of a sales pitch, which is a welcome change. 

This impression is only furthered by the fact that Monument offers access to its hour-long, therapist-moderated forums for free. All you have to do is create an account, then log in during the session time.

Seventy-seven percent of users we surveyed said they either had a very good or excellent experience signing up for Monument.

Whether you want to sign up for access to the online support groups and forums or wish to subscribe to a monthly membership for treatment, the sign-up process is pretty easy. Start by choosing a nickname for yourself (if you want to be anonymous) and share your email. Then fill out a short intake form about your medical history and choose what level subscription you want. Unless you choose the free community membership, you’ll also pay for your first month and/or provide your insurance details before you get matched with your therapist or prescriber. Once you’re signed up, you can immediately schedule an appointment with your new provider. 

You should hear a confirmation from your provider within 48 hours unless you sign up over a holiday or weekend. Of the users we polled, this seems to be more or less true: 

  • Twenty-eight percent heard from their provider the same day, and 39% within two days. 
  • Twenty percent heard from them within the same week, and 10% within two weeks. 
  • Only 2% said it took longer than that.

Cost 

Monument is one of the only companies we reviewed, aside from 7 Cups, that offers free access to community support via moderated online support groups and forums. 

It also offers three different therapy plans, depending on what your needs are, but overall, its prices are lower than the average across all 33 companies we reviewed. Seventy-four percent of our survey respondents said the cost of these plans was very good or excellent.

Monument's Prices Compared to Other Therapy Options

What Subscription Plans Does Monument Offer?

The three paid subscription plans at Monument are:


The Physician Care plan: The cost is $9.99 a month (after an initial one-time fee of $45 to cover the cost of the initial physician appointment) and includes: 

  • One initial appointment with a licensed physician 
  • Medication management if needed
  • Unlimited chat messaging with your doctor
  • Access to the free community forums and moderated support groups

If you need subsequent follow-up appointments—and they are recommended every 90 days—those cost $45 each. 


The Total Care (biweekly) plan: This runs $149 a month and includes:

  • Two therapy appointments a month with a licensed therapist who specializes in addiction
  • Unlimited appointments with a doctor when you need them
  • Medication management if needed
  • Unlimited chat messaging with both your doctor and therapist
  • Access to the Monument support groups and community forums


The Total Care (weekly) plan: The fee is $249 a month and includes:

  • Everything in the Total Care Biweekly Plan
  • Four therapy sessions a month with a licensed therapist who specializes in addiction

The free plan is called the Community Membership plan and it gives you access to support groups, anonymous forums, and online resources. You can pay for your sessions online with any major card or with your HSA or FSA card. 

Is There a Free Trial?

There is no free trial of the paid plans.

Does Monument Accept Insurance?

Monument does accept some insurance plans. You can check your eligibility through the Monument website on its insurance page. You can also call their insurance specialist support team if you require assistance. 

Can You Change or Cancel Your Subscription?

You can upgrade, downgrade, change, or freeze your subscription at any time through your client portal or the app. You will also be refunded for the remainder of the month you haven’t used—a real plus for this company, as few competitors offer the same.

Are There Discounts Available?

There are no discounts or financial aid available, either.

Ease of Use

Like at most online therapy companies, you will schedule appointments and message your therapists and doctor through your personal portal or in the Monument app. You will also be able to access the moderated support groups and online group forums. Seventy-nine percent of survey respondents said this platform was very good or excellent in terms of ease of use. 

Eighty-one percent of survey respondents said the speed at which they heard a response from the therapist was either very good or excellent, and 84% said the quality of live video sessions was excellent or very good.

Unfortunately, Monument matches you with your therapist and prescribing physician based on your intake form; you do not get to choose for yourself from provider bios. However, if you do not like who you’re matched with, you can switch—but you have to send an email requesting the change to the Care Coordination Team. This means that the switching process is slower than at some of the other companies we reviewed where you can do so yourself through the site.

Seventy-five percent of the users we surveyed said the switching process was easy or very easy.

Therapists' Qualifications and Quality of Care

When it came to choosing Monument, 82% of the people we surveyed said that the staff’s qualifications and expertise played a significant role in their decision to sign up—and 83% said their therapists’ qualifications were very good or excellent. 

All therapists and medical doctors are licensed in their state. Monument told us that they are also required to have at least three years of post-graduate experience, plus an additional year of experience specializing in substance abuse. In addition, the company says, it requires that all therapists have an “empathy-first approach,” with additional certifications in either cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), motivational interviewing (MI), or trauma-informed therapy.

The company did not share, however, how many doctors and therapists are on its staff—only that they are working to expand so that they can serve more states.

Ninety-four percent of the users we polled said they were either satisfied or very satisfied with the therapist options available.

Types of Therapy Offered

Unlike some of the other companies we reviewed, Monument's talk therapy sessions, medication management, and online support groups are specifically focused on alcohol addiction recovery.

The techniques and style of therapy used by individual therapists will vary, but according to the company, most utilize:

There are only two medications that Monument providers prescribe: 

These medications both work differently to help you change your drinking habits. Antabuse, taken daily, causes unpleasant side effects when even a small amount of alcohol is consumed. This often quickly deter people from continuing to drink, although it also means having to completely avoid medications (such as some cold and flu syrups) and food that contain any alcohol.

Naltrexone, however, blocks the pleasurable feelings associated with being drunk, and is taken only as needed, prior to drinking. It is used as part of the Sinclair method, which can help people reduce or end their alcohol consumption because there are no longer any "feel-good" endorphins associated with drinking.

Both medications have their pros and cons, but your Monument clinician will help you decide which is best for you.

Privacy Policies

Monument told us that it takes user privacy seriously. The company is HIPAA compliant and upholds all relevant privacy laws, encrypting your personal data for safety. It also said that it follows industry-leading security practices in developing software, including getting testing done by internal and external security researchers. All employees are trained in information protection protocols, as well. 

According to its privacy policy, Monument says that it does not sell, use, or share your personal information unless you grant permission or as is required by law. While you can use a username in the online forums and support groups, you are required to upload a photo ID if you want to participate in therapy or medical services. 

You can request a copy of your medical records if you complete a release of information form. Your records will then be sent to you within 48 hours.

Overall Client Satisfaction

According to our user surveys, 75% said the services they received through Monument were either very good or excellent, and 82% said the value for money was very good or excellent for the money spent. These percentages were above average when compared to other companies. 

Eighty percent who had used other online therapy services said that Monument was better or much better than their previous online service.

It also appears that Monument users intend to stick with the service for a while: Ninety-three percent told us it was very likely or likely they’d still be seeing a Monument therapist 12 months from now. Only time will tell if this holds true.

Eighty-eight percent of surveyed users reported that they were either likely or very likely to recommend someone like them to Monument.

Is Monument Right For You?

Monument might be the right online therapy company for you if you’re currently living with an alcohol addiction or you’re working on achieving long-term sobriety. It’s also relatively affordable (especially compared to many outpatient rehab centers), whether you're paying a co-pay or out of pocket. It could work well for people who don’t have the time to go to an in-person meeting or therapy session.

It isn’t the company for you, though, if getting sober isn’t your primary focus. This isn’t a company aimed at treating depression, anxiety, or other mental health issues. It is also not an emergency service and not the right fit if you have a history of psychosis. 

Monument vs. Talkspace

Monument and Talkspace are two subscription-based online therapy services that offer treatment for alcohol addiction. Both offer you the ability to message or attend video sessions with licensed therapists and prescribing physicians. 

Website Comparison: Monument vs Talkspace

However, while Monument focuses exclusively on alcohol addiction recovery, Talkspace offers a range of services to treat a variety of mental health conditions that includes addiction. In other words: Talkspace is where you go if you want broad mental health support; Monument is for you if getting sober is your number one priority.

Both companies offer licensed therapists with specialized training, as well as board-certified physicians, though Talkspace also has board-certified psychiatrists on staff.

Both also accept insurance and offer a variety of different subscription plans with tiered pricing to maximize affordability, though, without a doubt, Monument is more affordable than Talkspace:

  • Talkspace’s plans range from $260 to $400 a month, though psychiatric services and medication management cost extra.
  • Monument’s plans, as noted above, range from $9.99 (plus a $45 initiation fee) to $249 a month. Medication management is included in all paid plans, if necessary.

Both companies allow you to switch therapists at any time, though the process is easier at Talkspace because you simply click a button. You can also cancel your monthly subscription at any time at both companies, though only Monument offers partial reimbursement for the unused time remaining in your month.

Both companies are HIPAA compliant and take care to protect client data and private information, using data encryption, banking-grade security for payment information, and regular safety testing protocols. 

In terms of our user surveys, Monument generally fared better: 

  • Ninety-three percent of Monument users said they were likely to still be seeing a therapist at the company in a year, beating Talkspace’s 88%.
  • Seventy-five percent of Monument users said the services were very good or excellent. Only 69% said the same at Talkspace. 
  • Eighty percent of people at Monument said the service was better than others they’d tried compared to 76% at Talkspace. 

However, 93% of Talkspace users said they were either likely or very likely to refer someone to the company. At Monument, that number was only 88%.

Final Verdict

Monument is our choice for an online therapy company if you’re looking for online treatment for your alcohol addiction. It offers a combination of individual talk therapy, medication management, and community support. However, it only serves users in 19 states and Washington, D.C.

Methodology

Our methodology for evaluating online therapy companies is comprehensive and data-driven. To review the best online therapy programs, we sent questionnaires to 33 companies and surveyed 100 current users of each. This allowed us to directly and fairly compare services offered by gathering qualitative and quantitative data about each company and users’ experiences.

Specifically, we evaluated each company on website usability, sign-up process, subscription offerings, client privacy protections, and how easy it is to change therapists. We then looked at therapist qualifications, the types of therapy offered quality of care, client-therapist communication options, session length, and the therapist assignment process. Finally, we reviewed cost, value for money, whether the companies take insurance, overall user satisfaction, and the likelihood clients would recommend them. 

Edited by
Simone Scully
simone-scully-verywell

Simone is the health editorial director for performance marketing at Verywell. She has over a decade of experience as a professional journalist covering mental health, chronic conditions, medicine, and science.

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3 Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Center for Substance Abuse Treatment. Incorporating Alcohol Pharmacotherapies Into Medical Practice. Chapter 3—Disulfiram. Substance Abuse and Mental Health Services Administration (US); 2009.

  2. Anton RF. Naltrexone for the management of alcohol dependence. N Engl J Med. 2008;359(7):715-21. doi:10.1056/NEJMct0801733

  3. Sinclair JD. Evidence about the use of naltrexone and for different ways of using it in the treatment of alcoholismAlcohol & Alcoholism. 2001;36(1):2-10. doi:10.1093/alcalc/36.1.2